Provider Demographics
NPI:1528399284
Name:MARQUEZ, AMNERIS (PSIC)
Entity Type:Individual
Prefix:
First Name:AMNERIS
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:PSIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. CAMPO PRIMAVERA
Mailing Address - Street 2:2009 CALLE AMAZONA
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-410-2192
Mailing Address - Fax:
Practice Address - Street 1:URB. CAMPO PRIMAVERA
Practice Address - Street 2:2009 CALLE AMAZONA
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-739-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2667103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling